Individual
KELLY E JONES
Active
Individual
KELLY E JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
22778
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200080640A
—
OK
01
—
246625805
MEDICARE
OK
01
—
P00380155
RAILROAD MEDICARE
OK
Enumeration date
04/10/2006
Last updated
08/13/2008
Update your record
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